Individual provider Active NPI

Karen Kronenberg, MSW

  • Mental Health Counselor
  • Brockton, MA
National Provider Identifier
1073758223
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
213229 Issued in MA
Practice address
37 Belmont St
Brockton, MA 02301-5299
Phone
(508) 521-1020
Fax
(508) 521-1030
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 213229 MA Primary

Addresses

Primary practice location

37 Belmont St
Brockton, MA 02301-5299

Mailing address

15 Fells Rd
Wellesley, MA 02482-4413
Phone (781) 413-7431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170525000166 MA Practitioner - Clinical Social Worker 1658648563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Waltham Behavioral Health LLCGroup PAC ID 7315233822, 8 clinicians

Practice addresses (Care Compare)

210 Bear Hill Rd
Waltham, MA 02451-1025
Phone (781) 966-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
213229MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waltham Behavioral Health LLC Mental Health CurrentSince Jul 11, 2022 Accepting new patients

Locations

210 Bear Hill Rd
Ste 202
Waltham, MA 02451
Phone (781) 966-0070

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1073758223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FELLS RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824413",
            "telephone_number": "781-413-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015299",
            "telephone_number": "508-521-1020",
            "fax_number": "508-521-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENBERG",
        "first_name": "KAREN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "213229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.